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Main Author: Kumaki, Rei
Format: Recurso digital
Language:English
Published: Zenodo 2026
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Online Access:https://doi.org/10.5281/zenodo.18693496
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author Kumaki, Rei
author_facet Kumaki, Rei
contents <p><strong>Preprint v1.1.</strong> This paper develops a formal model of institutional gate pressure in sleep-related medical markets. We show how insurer-imposed diagnostic thresholds induce avoidance behavior that suppresses medical record formation, generating endogenous information distortion and risk inversion.</p><p>The model identifies institutional observability thresholds at which diagnostic incentives flip sign and long-run actuarial calibration deteriorates.</p><p>This framework contributes to insurance economics, health economics, and institutional information design.</p>
format Recurso digital
id zenodo_https___doi_org_10_5281_zenodo_18693496
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language eng
publishDate 2026
publisher Zenodo
record_format zenodo
spellingShingle Institutional Gate Pressure and Risk Inversion in Sleep-Related Medical Avoidance
Kumaki, Rei
sleep medicine
insurance underwriting
adverse selection
medical avoidance
information suppression
risk inversion
health economics
<p><strong>Preprint v1.1.</strong> This paper develops a formal model of institutional gate pressure in sleep-related medical markets. We show how insurer-imposed diagnostic thresholds induce avoidance behavior that suppresses medical record formation, generating endogenous information distortion and risk inversion.</p><p>The model identifies institutional observability thresholds at which diagnostic incentives flip sign and long-run actuarial calibration deteriorates.</p><p>This framework contributes to insurance economics, health economics, and institutional information design.</p>
title Institutional Gate Pressure and Risk Inversion in Sleep-Related Medical Avoidance
topic sleep medicine
insurance underwriting
adverse selection
medical avoidance
information suppression
risk inversion
health economics
url https://doi.org/10.5281/zenodo.18693496